[Dysphagia] Qualifications

[cagoettsche at yahoo.com (Cheryl Goettsche)]

Very well said Karen.
  Thank you,
  Cheryl

"Houts, Karen L" <KHouts@stanfordmed.org> wrote:I  am an OT that has completed the OT version of board recognition in  Dysphagia. In my program, we had dysphagia sprinkled in and amongst  lectures that focused on medical conditions & thier impact on  function. I think I had 3, 1 hour, lectures specific to Oropharyngeal  A&P, normal & abnormal chewing & swallowing patterns etc.  Needless to say I was no where near compent to try to manage dysphagia  issues when I graduated. However, my course work did teach problem  solving, the importance of seeing the pt's big picture, activity  analysis & quite a bit of the general sciences: Biology, A&P,  Neuro anatomy, Neuro patholgy & Physics. I think this put me in a  good postion to learn & apply the information specific to the  practical management of Dysphagia to a wide range of conditions &  situatuions. I have served adults in acute care for 10 years, reading  books and taking many continueing education courses. One of the best  was with
 Dr. Irene Campbell-Taylor. I continue to learn on a !
  regular basis from many discplines as well as this list serve. I am not  too proud to admit when I don't know something or unwilling to ask for  help to save face. I think every discpline has something to bring to  solving Dysphagia problems & how to keep the person eating in a  manner safe & acceptable to the patient. It is really everyone's  loss when people, thier insight & information, are disregarded  based on the initials after thier name.
 
Karen Houts-Brown OTR/L-SWC

 -----Original Message----- 
 From: dysphagia-bounces@b9.com on behalf of Clarke-Goertz, Kim (PAPHR) 
 Sent: Wed 3/8/2006 6:44 AM 
 To: 'dysphagia@b9.com' 
 Cc: 
 Subject: FW: [Dysphagia] Qualifications
 
 

 
 I would agree with Heidi's 'regrettable' statement regarding the vast
 content that is attempted to be crammed in to our education.  I think we are
 comparable to the field of OT in that regard, any OT's out there on the
 listserv care to comment?
 Also do any of the OT's on the list feel you're getting a comparable or
 perhaps superior basis in your university programs to be practicing
 dysphagia?
 While I believe Irene has a history which prepares her for this discussion
 and the need to make comparisons, I'm wondering what clinicians feel from
 other fields (OT, dietician) as to how 'prepared' they are upon leaving
 university.
 I think the biggest issue for our area of study, while I believe in the
 value of coursework, is clinical practicum experience.  I just don't see how
 one could practice in this field without some mentoring, continuing
 education aside and assumed.
 Kim
 
 -----Original Message-----
 From: Bassani, Heidi D Ms WRAMC-Wash DC
 [mailto:Heidi.Bassani@amedd.army.mil]
 Sent: Tuesday, March 07, 2006 14:17
 To: HAL9600@aol.com; LOBSTERPAM@aol.com; LLORTEAU@sbgh.mb.ca
 Cc: dysphagia@b9.com
 Subject: RE: [Dysphagia] Qualifications
 
 I personally think that Speech Pathology needs to be a bit more
 compartmentalized than it is currently in this country.  The fact that
 Masters programs are teaching a huge amount of info in a short period of
 time is regrettable given the undeniable fact that many people come into the
 field with a specialty (at least in terms of adult vs. peds) in mind.  I
 hope that as we look toward a PhD (or an ScD) in SLP as audiology has done,
 this will help the matter. 
 
 However, as a relatively new clinician in who has had the chance to work
 with several wonderful people who came up in programs, back in the
 day;-)that did not offer dysphagia courses, I would like to say that we are
 currently trying (as a field) to better this aspect of speech path.
 However, all the book-learnin' in the world will NOT teach you the clinical
 skills that you need to make these decisions. 
 
 First and foremost, many people can pass courses and simply do not have the
 basic clinical skills to integrate that info into the real world of "case
 studies".  And no academic program will prepare you for all the information
 that you will need to practice.  They are not designed for that.  The
 purpose of the program is to gain a basis on which you build and understand
 what you are seeing and make logical informed decisions.
 The fact that some people don't or can't do that makes us no worse than any
 other field.  In addition, there are plenty of people out there who consider
 themselves "experts" who just don't know anything.
 
 I'm ranting like everyone else but perhaps it's just me...did anyone else
 completely miss the point of the original email?  Was it to create a basis
 by which all speech paths should be held in order to practice?
 I'm pretty sure there's a group that does that!  And we can argue it all
 day. Or was it to discuss Dr. Campbell-Taylor's qualifications?  I missed
 it....
 
 Heidi
 
 -----Original Message-----
 From: HAL9600@aol.com [mailto:HAL9600@aol.com]
 Sent: Tuesday, March 07, 2006 8:03 AM
 To: LOBSTERPAM@aol.com; LLORTEAU@sbgh.mb.ca
 Cc: dysphagia@b9.com
 Subject: Re: [Dysphagia] Qualifications
 
 I personally think Ph.D. in our field as entry level requirement is long
 
 overdue.  I wrote an article about 10 years ago in ASHA saying so.
 Wasn't
 popular then and I doubt it's any more popular now.  Beam me  aboard?
 
 
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 _______________________________________________
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